| NPI | 1063072528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11485400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218878) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-07-07 |