| NPI | 1225013584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA06563500) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA06563500) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06563500) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA06563500) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2010-03-16 |