| NPI | 1396792867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 180270) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 141096) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-08-26 |