| NPI | 1285929901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10574600) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY p 93125) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY p 93125) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-08-19 |