| NPI | 1578778148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900272) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9900727) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 9900727) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-08-21 |