| NPI | 1255532487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: UT 11581788-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 5515) |
| 207Q00000X Family Medicine (Licence: AZ 41658) | |
| 208M00000X Hospitalist (Licence: AZ 41658) | |
| 208M00000X Hospitalist (Licence: IN 01071269A) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2023-03-07 |