| NPI | 1619002888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101251644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07718100) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME101167) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA07718100) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2014-02066) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA077181) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-08 |