| NPI | 1992780787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A55660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 020A55660) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 020A55660) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-11-07 |