| NPI | 1639706641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME175867) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME175867) |
| 207R00000X Internal Medicine (Licence: FL ME175867) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-10-08 |