| NPI | 1760471403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101045194) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101045194) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2018-12-13 |