| NPI | 1760878789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 295318) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 295318) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 295318) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-04-17 |