| NPI | 1962558171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231792) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 31114) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 231792) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 231792) | |
| 208M00000X Hospitalist (Licence: MA 231792) | |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2022-04-12 |