| NPI | 1578710265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 5232) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 5232) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2025-11-20 |