| NPI | 1619940996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 043501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043501) |
| 208M00000X Hospitalist (Licence: CT 043501) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-03-01 |