| NPI | 1861655524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT193699) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MT193699) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: PA MT193699) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: IL 036137309) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-02-09 |