| NPI | 1730160391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA03962500) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA39625) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA39625) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-10-22 |