| NPI | 1396906913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA08909100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08909100) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 284261-1) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 284261-1) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-04-14 |