| NPI | 1285890038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60789740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005013470) |
| 207R00000X Internal Medicine (Licence: IA MD-43532) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-03-17 |