| NPI | 1063461614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05797400) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD037908E) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA05797400) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA057974000) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD037908E) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA05797400) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD037908E) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-01-12 |