| NPI | 1891762555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05271800) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA05271800) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-01-20 |