NPI | 1710306295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 308720) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 308720) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2021-09-09 |