NPI | 1912010018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 214601) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 214601) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-08 |