| NPI | 1659649010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 73418-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446577) |
| 207R00000X Internal Medicine (Licence: IN 01072144A) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-07-27 |