| NPI | 1497068803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA08799000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08799000) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-05-17 |