| NPI | 1518062942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301081520) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301081520) |
| 207R00000X Internal Medicine (Licence: MI 4301081520) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-12-01 |