| 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 |