| NPI | 1568575611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 174063) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 174063) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 174063) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-01-25 |