| NPI | 1033205323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA48237) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD028378E) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA48237) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD028378E) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-08-03 |