| NPI | 1609806694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA06312400) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA06312400) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 163616) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA06312400) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NJ 25MA06312400) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-12-21 |