| NPI | 1881139517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD485817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0088416) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-12-10 |