| NPI | 1124003983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 309102-01) | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 309102-01) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 309102-01) | |
| 207R00000X Internal Medicine (Licence: NY 309102-01) | |
| Enumeration Date | 2005-12-14 | 
| Last Update Date | 2025-10-02 |