| NPI | 1043668437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD H97692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P32573) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD H97692) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2023-06-21 |