| NPI | 1720059645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D62375) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0062375) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D62375) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-05-08 |