| NPI | 1639223340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09033900) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 259731) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 3401088977) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09033900) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-10-02 |