| NPI | 1346391174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 196707) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA06073600) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA06073600) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 196707) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-03-31 |