| NPI | 1922100981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2008-01508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 050513) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 050513) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2008-01508) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-03-17 |