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 |