| NPI | 1104042886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 233669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09825500) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09825500) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 233669) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09825500) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 233669) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-03-26 |