| NPI | 1467602201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA08785100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434324) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2010-07-20 |