| NPI | 1962750620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KS 04-44234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280302) |
| 208M00000X Hospitalist (Licence: NY 280302) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-02-18 |