| NPI | 1972741635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10450700) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C1-0012839) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0012839) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2019-05-01 |