| NPI | 1811004609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS005631L) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA OS005631L) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-03-09 |