| NPI | 1770700718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: PA MD431021) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD0431021) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-07-25 |