| NPI | 1972795599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME130498) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2015-00560) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME112358) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-01-18 |