| NPI | 1912527482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 325248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 325248) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2026-09-23 |