| NPI | 1003049610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09077300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015588) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS015588) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09077300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS015588) | |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2025-08-18 |