| NPI | 1033559851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.149124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 308244) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 308244) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-05-03 |