| NPI | 1770542946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD068085L) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ MA70224) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY 55521) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ MA70224) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 55521) | |
| 207RS0010X Internal Medicine Sports Medicine (Licence: KY 55521) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NJ MA70224) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-05-15 |