| NPI | 1184889271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08361900) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA08361900) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-05-28 |