| NPI | 1699777235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD438384) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06295600) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD438384) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-05 |