| NPI | 1730326133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD447229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08500100) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-10-17 |