| NPI | 1629241369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 252659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426973) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 60 252659) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2022-09-01 |