NPI | 1700876943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 196821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 196821) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 196821) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-01-08 |