| NPI | 1689767915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD070783L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06666100) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA06666100) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD070783L) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06666100) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2019-03-22 |