| NPI | 1891881959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2007-01238) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 200701238) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2007-01238) | |
| 208M00000X Hospitalist (Licence: NC 2007-01238) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-12-11 |