| NPI | 1104917749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101-023237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101-023237) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-08-01 |