| NPI | 1801183934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME150866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60-266611) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD41718) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 296936) | |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2022-06-03 |