| NPI | 1790248136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 338197) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 338197) |
| 207R00000X Internal Medicine (Licence: MA 338197) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-07-21 |