| NPI | 1013412923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301503441) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301503441) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301503441) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2025-07-24 |