| NPI | 1659355949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 20270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46137) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2015-01-23 |