| NPI | 1245695501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 65856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65856) |
| 207R00000X Internal Medicine (Licence: MN 29154) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 65856) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2025-07-01 |