| NPI | 1699120535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149359) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036149359) |
| 208M00000X Hospitalist (Licence: IL 036149359) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-04-12 |