| NPI | 1104072727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10015400) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 68990) |
| 207R00000X Internal Medicine (Licence: NY 250684) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 68990) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10015400) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-10-21 |