| NPI | 1043568314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2021-00780) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD463818) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: PA MD463818) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2021-09-08 |