| NPI | 1508025412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0497) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA ABIM282060) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-07-12 |