| NPI | 1336241272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101244220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 219494-1) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D84510) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-07-19 |