| NPI | 1033290101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 116317) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 116317) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-10-24 |