| NPI | 1720185978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA55142) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA55142) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05514200) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-01-23 |