NPI | 1598766743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA03772700) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA03772700) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA03772700) | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2025-02-04 |