| NPI | 1669601910 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10266500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253898) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-02-21 |