| NPI | 1386794899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 242650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60242650) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-04-28 |