| NPI | 1588930879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB11039400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A14704) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS019732) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB11039400) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS019732) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-04-12 |