| NPI | 1053311282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 22644) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 22644) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-07-28 |