| NPI | 1952887291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD476543) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: PA MD476543) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-07-29 |