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 |