| NPI | 1972685279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 012611) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 012611) |
| 207R00000X Internal Medicine (Licence: LA 012611) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-07-14 |