| NPI | 1700945045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 073466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 073466) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 073466) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-09-24 |