| NPI | 1912989443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 3828R) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: LA 3828R) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-08-06 |