| NPI | 1700271905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 328044) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 68235) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-07-11 |