| NPI | 1659733475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 327823) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.147337) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 327823) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-09-05 |