| NPI | 1316010986 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX G3112) | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX G3112) | 
| 207R00000X Internal Medicine (Licence: TX G3112) | |
| Enumeration Date | 2006-11-15 | 
| Last Update Date | 2023-06-09 |