| NPI | 1073883104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 276862) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 276862) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11080100) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11080100) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2026-03-23 |