| NPI | 1750816021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 328594) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 328594-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-01-07 |