| NPI | 1023260767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0009850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c1-0009850) |
| 207P00000X Emergency Medicine (Licence: PA MD073089L) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: DE C1-0009850) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0009850) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2016-03-16 |