| NPI | 1689803454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME116011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08619100) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME116011) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-05-12 |