NPI | 1487844148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA md432380) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432380) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 259009) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NJ 25MA08590300) | |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD432380) | |
Enumeration Date | 2007-07-30 |
Last Update Date | 2017-04-03 |