| NPI | 1790151116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09902300) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: NJ 25MA09902300) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-04-25 |