| NPI | 1043203698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 25096) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 106596) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KS 0425096) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IA 35879) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2022-09-15 |