| NPI | 1033275805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0102201078) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102201078) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 0102201078) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 650) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 650) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 650) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2026-04-07 |