| NPI | 1316991219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 22843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 25562) |
| 207R00000X Internal Medicine (Licence: MS 22843) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-01-27 |