| NPI | 1104823327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9701018) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 9701018) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2010-12-28 |