| NPI | 1295066181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09025200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB0902500) |
| 207R00000X Internal Medicine (Licence: KY 04509) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09025200) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 04509) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 04509) | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2026-03-04 |