NPI | 1477500569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA07766400) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD422758) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA07766400) | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-09-19 |