| NPI | 1942269881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-02788) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA12149500) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101271291) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2025-02-27 |