| 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) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-08-15 |