| NPI | 1831183599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 212030-1) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 212030-1) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 212030-1) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA05881300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA05881300) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA05881300) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-05-15 |