| NPI | 1073047429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD480721) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11791300) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD480721) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25ma11791300) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-10-26 |