| NPI | 1710985239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101257546) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 36886) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101257546) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-09-08 |