NPI | 1184640773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 282931) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 044559) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD443992) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD443992) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 282931) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA07804100) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2025-10-07 |