| NPI | 1417162090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09099900) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09099900) |
| 207R00000X Internal Medicine (Licence: PA MT189200) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-04-15 |