| NPI | 1639405129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 8182395-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254785) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2022-02-11 |