| NPI | 1144568007 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A149412)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09529400)  | 
| 207R00000X Internal Medicine (Licence: CA A149412)  | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A149412)  | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09529400)  | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA09529400)  | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A149412)  | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA09529400)  | |
| Enumeration Date | 2013-01-27 | 
| Last Update Date | 2022-02-11 |