| NPI | 1679525034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A069265) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A69265) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-03-17 |