| NPI | 1801259882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 65451) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 65451) |
| 207R00000X Internal Medicine (Licence: NY 298901) | |
| 207R00000X Internal Medicine (Licence: CT 65451) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-07-17 |