| NPI | 1770895179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10317200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196717) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10317200) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD453626) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2022-06-14 |