| NPI | 1750330890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09218500) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD427912) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 268467) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 268467-1) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD427912) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-07-18 |