| NPI | 1104212463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 296052) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: PA MD467980) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-08-03 |