NPI | 1902123458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10118900) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10118900) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA10118900) | |
207R00000X Internal Medicine (Licence: NJ 25MA10118900) | |
Enumeration Date | 2010-04-23 |
Last Update Date | 2022-07-21 |