| NPI | 1437619061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB11406300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6970) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB11406300) | |
| 207R00000X Internal Medicine (Licence: NJ 25MB11406300) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-08-22 |