NPI | 1902876915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA05819200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05819200) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA05819200) | |
207RS0012X Internal Medicine Sleep Medicine (Licence: NJ 25MA05819200) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2024-05-02 |