| NPI | 1790983450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 244964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244964) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 244964) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 244964) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2025-01-08 |