| NPI | 1902806011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 10446) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 10446) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-02-05 |