| NPI | 1861455172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301038163) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 038163) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2017-08-02 |