| 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 | 2022-04-15 |