| NPI | 1013192384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 83690) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 57280) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 83690) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 46703) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-10-02 |