NPI | 1578094223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB11780800) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB11780800) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2024-01-09 |