| NPI | 1649472069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME114750) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME114750) |
| 207R00000X Internal Medicine (Licence: IL 125050954) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2026-05-19 |