| NPI | 1063507515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: DC MD043164) | 
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: MD D0044749) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD043164) | |
| Enumeration Date | 2006-10-03 | 
| Last Update Date | 2023-03-14 |