| NPI | 1851356315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 009701147) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 97-01147) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2012-05-29 |