| NPI | 1770578460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0071905) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AR E4956) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: MD D0071905) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2021-06-26 |