| NPI | 1588042675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 34976) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 34976) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2025-08-06 |