| NPI | 1003807314 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO R2B77)  | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R2B77)  | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036082038)  | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036082038)  | |
| Enumeration Date | 2005-11-04 | 
| Last Update Date | 2021-02-12 |