| NPI | 1225325095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD452845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA Md452845) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10375900) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2019-02-12 |