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 |