NPI | 1376077693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB12188500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB12188500) |
207R00000X Internal Medicine (Licence: PA OT017582) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB12188500) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-10-08 |