| NPI | 1306465091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY MT221413) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA13121200) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA13121200) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2026-08-11 |