| NPI | 1013440551 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA12100600)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12100600)  | 
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA12100600)  | |
| Enumeration Date | 2017-04-11 | 
| Last Update Date | 2024-05-07 |