| NPI | 1063426864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VT 042.0006480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0006480) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-07-22 |