| NPI | 1770533572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 193386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 193386) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-12-07 |