| NPI | 1235387119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 281754) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AZ 40969) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ R70636) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 281754) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2017-01-05 |