| NPI | 1336335710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09753800) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09753800) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 256248) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 256248) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-08-12 |