| NPI | 1144587502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10463100) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 288133) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 288133) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2020-06-02 |