| NPI | 1922379908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD475195) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0436424) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2021-09-13 |