| NPI | 1013330091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10341800) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10341800) |
| 207R00000X Internal Medicine (Licence: CT 03260959) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10341800) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 054214) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 054214) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2024-04-30 |