| NPI | 1710133400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV DO1586) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25IB12363300) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV DO1586) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2026-04-12 |