| NPI | 1194087965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-11341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-11341) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-11341) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10100300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10100300) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-12-18 |