| NPI | 1982698577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10770400) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 224759) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10770400) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 224759) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-03-11 |