| NPI | 1962489872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 38039) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 6360) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV 6360) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2025-08-12 |