| NPI | 1689613739 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 18158) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 00012505) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18158) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 00012505) | |
| Enumeration Date | 2006-06-05 | 
| Last Update Date | 2025-09-11 |