NPI | 1497830293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06687400) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 180837) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-11-14 |