| NPI | 1104830629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09773100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09773100) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD032459E) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-04-10 |