| NPI | 1215254867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT013580) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 67161) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2018-04-23 |