| NPI | 1740393677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 55726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240352) |
| 207R00000X Internal Medicine (Licence: MN 106234) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-07-10 |