| NPI | 1659804961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 319296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10191300) |
| 207R00000X Internal Medicine (Licence: NY 319296) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 319296) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D91536) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D91536) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-10-03 |