| NPI | 1659642015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 272040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51037) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 272040) | |
| 207R00000X Internal Medicine (Licence: NY 272040) | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2024-06-27 |