| NPI | 1184988453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA12442400) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 291206) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 291206) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA12442400) | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2024-12-16 |