| NPI | 1013915107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E2770) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX E2770) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX E2770) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-08-02 |