| NPI | 1710392162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2015025966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10001) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 61623) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-04-18 |