| NPI | 1164654117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 30529) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 30529) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2021-06-24 |