| NPI | 1932512175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11584200) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 302419) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 302419) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11584200) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-12-13 |