| NPI | 1255315081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236604) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101236604) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101236604) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-04-24 |