| NPI | 1053873018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A205804) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A205804) |
| 208M00000X Hospitalist (Licence: CT 70710) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-06-08 |