| NPI | 1972608032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH LT3784) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NH LT3784) |
| 207R00000X Internal Medicine (Licence: NY 176953) | |
| 207R00000X Internal Medicine (Licence: HI 6798) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH LT3784) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 176953) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 176953) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 176953) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-05-22 |