| NPI | 1619383718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 301766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301766) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 301766) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-08-04 |