| NPI | 1811928542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A34032) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A34032) |
| 207R00000X Internal Medicine (Licence: CA A34032) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-12-22 |