| NPI | 1679671234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ND 11403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 180227) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 180227) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 180227) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-02-15 |