| NPI | 1063486132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MB68516) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB06851600) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-02413) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS14248) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-02-03 |