| NPI | 1497071518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11343700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 264665) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 264665) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2022-07-16 |