| NPI | 1104864784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301061737) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI HM061737) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-02-06 |