| NPI | 1578596409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 207966) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 207966) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-09 |