| NPI | 1699724419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 52826) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 52826) |
| 173000000X Legal Medicine (Licence: GA 52826) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-08-21 |