| NPI | 1821082074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 150658) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 150658-1) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 150658) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 150658-1) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 150658) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2015-08-20 |