NPI | 1629144795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME79829) |
Additional Taxonomies | 174400000X Specialist |
207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME79829) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2019-09-24 |