| NPI | 1750349965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 187712) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ MA069221) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 187712) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NJ MA069221) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-06-05 |