NPI | 1336571116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME134216) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10976700) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2024-08-12 |