| NPI | 1013945815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME83500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83500) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME83500) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-02-22 |