| NPI | 1295033819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB10015800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019425) |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2024-11-20 |