| NPI | 1013909977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME14617) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0014617) |
| 202C00000X Independent Medical Examiner (Licence: FL ME14617) | |
| 209800000X Legal Medicine (Licence: FL ME14617) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2010-06-04 |