| NPI | 1922388982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 271918) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 18759) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-10-16 |