| NPI | 1730611948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD471024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471024) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-07-08 |