| NPI | 1104868967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301054690) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI LM054690) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-11-05 |