| NPI | 1649597063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 270718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56247) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 270718) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56247) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 56247) | |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2024-02-28 |