| NPI | 1073040044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11920100) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11920100) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059562) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-01-10 |