| NPI | 1770831984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA10702800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10702800) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD468998) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2024-10-02 |