| NPI | 1740275551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: PA MD067859L) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0101243795) |
| 207Q00000X Family Medicine (Licence: MD D0068524) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MD D0068524) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0068524) | |
| 208M00000X Hospitalist (Licence: VA 0101243795) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-06-17 |