| NPI | 1770512089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09546600) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 037181) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 037181) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09546600) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-09-15 |