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 |