| NPI | 1740695725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10594100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10594100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-02-13 |