| NPI | 1912179946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD465606) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 9911403) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2022-08-25 |