| NPI | 1609094457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 57998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431468) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD431468) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-04-29 |