| NPI | 1528078433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD043621L) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD043621L) |
| 208000000X Pediatrics (Licence: PA MD043621L) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-03-30 |