| NPI | 1568555241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: PA MD038221L) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD038221L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-11-06 |