| NPI | 1477917474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.140302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 278356) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.140302) | |
| 208M00000X Hospitalist (Licence: MA 278356) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-08-12 |