NPI | 1023661022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 102571) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248169) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 102571) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 57.248169) | |
Enumeration Date | 2019-07-18 |
Last Update Date | 2025-08-06 |