| NPI | 1194188375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA12017300) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD476949) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-10-21 |