| NPI | 1629068218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 214817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 214817) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 214817) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-04-11 |