| NPI | 1194762153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 28945) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO 28945) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MT 160448) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2026-04-22 |