| NPI | 1356406631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05988400) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA05988400) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA59884) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-08-15 |