| NPI | 1043743255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10899000) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS ET00308) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2021049034) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-10-24 |