| NPI | 1255386355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA08044400) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA08044400) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-12-12 |