| NPI | 1831728773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD493132) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA11865200) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-08-03 |