| NPI | 1942296645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101031388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101031388) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101031388) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-02-22 |