| NPI | 1700976073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB05852900) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB05852900) |
| 174400000X Specialist (Licence: NJ 25MB05852900) | |
| 207K00000X Allergy & Immunology (Licence: NJ 25MB05852900) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MB05852900) | |
| 208VP0000X (Licence: NJ 25MB05852900) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2025-11-29 |