| NPI | 1386703619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10131400) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP854) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 50473) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E7312) | |
| 207P00000X Emergency Medicine (Licence: NY 242320) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 242320) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-08-08 |