| NPI | 1659651883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 282868-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101408) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301101408) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301101408) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2017-06-28 |