| NPI | 1790965481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D73909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001294) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D73909) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2019-06-04 |