| NPI | 1568549269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R8H50) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-24867) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO R8H50) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-04-01 |