| NPI | 1407837974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS22797) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: UT 9071932-8904) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2025-11-14 |