| NPI | 1114120771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301101072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036118123) |
| 208M00000X Hospitalist (Licence: IL 036118123) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-07-11 |