| NPI | 1861475808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C56165) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA C56165) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2013-12-11 |