| NPI | 1063806263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME149740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10248200) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-01-31 |