NPI | 1811484579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11818400) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11818400) |
207R00000X Internal Medicine (Licence: NJ 25MA11818400) | |
Enumeration Date | 2018-04-18 |
Last Update Date | 2024-11-13 |