| NPI | 1457611337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10196500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02334) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10196500) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-02-19 |