| NPI | 1932161932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 217122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 217122) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 217122) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2017-02-01 |