| NPI | 1295014785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME121884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09566300) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09566300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09566300) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2022-06-17 |