| NPI | 1043243827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 1790) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 53688) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-01-29 |