| NPI | 1528325891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 63942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL IL) |
| 208M00000X Hospitalist (Licence: WI 63942) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-10-27 |