| NPI | 1720384209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 53892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 53892) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MT 53892) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2020-06-01 |