| NPI | 1225318397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 294513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294513) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2025-04-10 |