| NPI | 1821036583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 43857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081385) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA08526000) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-08-14 |