| NPI | 1861431744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 185934) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 185934) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 185934) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-08-29 |