| NPI | 1972008597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD210002511) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD210002511) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA12825500) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-08-27 |