| NPI | 1982984431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 36108) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 269439) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 269439) | |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2024-02-01 |