| NPI | 1518930957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 033290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 33290) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 033290) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-05-06 |