| NPI | 1982611729 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD068249-L) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA07551900) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-01-19 |