| NPI | 1073041562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 42300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4855) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 42300) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-04-16 |