| NPI | 1780870659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 243109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14648) |
| 207R00000X Internal Medicine (Licence: MA 243109) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 243109) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD14648) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: RI MD14648) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2019-09-17 |