| NPI | 1861468639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 46171) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 40706) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 46171) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-04-29 |