| NPI | 1588688543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME111177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA042340) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA042340) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA042340) | |
| 207R00000X Internal Medicine (Licence: FL ME111177) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-01-21 |