| NPI | 1366427007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA03715200) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA03715200) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-03-16 |