| NPI | 1437371564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI 3777) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: HI 3777) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: HI 3777) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-05-23 |