| NPI | 1184640773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 282931) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD443992) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA07804100) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 044559) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD443992) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2025-06-05 |