| NPI | 1003257130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS018758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09747500) |
| 207R00000X Internal Medicine (Licence: PA OS018758) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09747500) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS018758) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09747500) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-12-04 |