| NPI | 1700097326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 240297) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ 25MA07895200) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 240297) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 240297) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-01-13 |