| NPI | 1376515023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G89398) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08089400) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA08089400) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G89398) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-01-13 |