| NPI | 1528067345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MD D0026492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0026492) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D0026492) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2010-01-28 |