| NPI | 1033356027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA08520400) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ MA85204) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2023-11-20 |