| NPI | 1124552757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME168765) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 23MA11481500) |
| 207R00000X Internal Medicine (Licence: NJ 25MA11481500) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11481500) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-08-06 |