| NPI | 1003817156 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05147800) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA05147800) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-11-20 |