| NPI | 1649595471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 271639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2716391) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-12-20 |