NPI | 1093155483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 76305) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD458440) |
208M00000X Hospitalist (Licence: WI 75089) | |
Enumeration Date | 2013-06-28 |
Last Update Date | 2024-10-21 |