| NPI | 1265540595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA39172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA03917200) |
| 207R00000X Internal Medicine (Licence: NJ MA39172) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-12-22 |