| NPI | 1770754632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05604700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05604700) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA05604700) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA05604700) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2013-06-25 |