| NPI | 1023072709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME142340) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 196563) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME142340) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-05-07 |