| NPI | 1376754903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB07711000) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS020253) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB07711000) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MBO7711000) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-11-08 |