| NPI | 1770626178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101244136) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 231063) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0067961) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-06-07 |