| NPI | 1013046051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 127158) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 62892) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-04-10 |