| NPI | 1215380670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10793100) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB10793100) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB10793100) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A19360) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-05-02 |