| NPI | 1518011808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 66385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065996) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07838600) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 66385) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-04-18 |