| NPI | 1912973595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101256059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256059) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101256059) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-07-21 |