| NPI | 1730127655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME43625) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME043625) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-03-01 |