| NPI | 1528136603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA57326) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA57326) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA05732600) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-04-10 |