NPI | 1053490177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301093855) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 24MA08103100) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301093855) | |
207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301093855) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2016-11-02 |