| NPI | 1417086729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09511700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 260713) |
| 207R00000X Internal Medicine (Licence: NY 260713) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 260713) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD434565) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 260713) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2019-07-31 |