NPI | 1609806694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06312400) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA06312400) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 163616) | |
207R00000X Internal Medicine (Licence: NJ 25MA06312400) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA06312400) | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2022-12-21 |