NPI | 1245646231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A17522) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MB09888800) |
208M00000X Hospitalist (Licence: NJ 25MB09888800) | |
Enumeration Date | 2014-07-10 |
Last Update Date | 2023-11-20 |