NPI | 1225245509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NJ 25MA08253900) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0007789) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-10-07 |