| NPI | 1932497856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA10076700) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD460629) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2023-03-29 |