| NPI | 1073544292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 185300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 185300) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 185300) | |
| 208000000X Pediatrics (Licence: NY 185300) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-01-10 |