| NPI | 1588801567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10426900) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 26914) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2021-07-23 |