| NPI | 1356573646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA09979200) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 62659-20) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 62659-20) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2017-06-22 |