| NPI | 1649336264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA62819) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA62819) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-01-13 |