| NPI | 1992812572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 212471) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 212471) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 212471) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-07-10 |