| NPI | 1235418468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10813500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452327) |
| 207R00000X Internal Medicine (Licence: PA MT198545) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10813500) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2020-11-19 |