| NPI | 1790957371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 55653-020) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0057837) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR.0057837) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2021-09-27 |