| NPI | 1346270287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2008-00395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-00395) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08000600) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 30482) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-08 |