| NPI | 1609958867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NE 19593) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 44183) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO 44183) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-02-28 |