| NPI | 1972982619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-51776) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD464250) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IA MD-51776) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-01-11 |