| NPI | 1972535698 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154031) | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 200100765) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200100765) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME154031) | |
| Enumeration Date | 2006-07-06 | 
| Last Update Date | 2023-10-11 |