| NPI | 1497752166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 251125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA os011844) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-11-17 |