| NPI | 1053637991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 8134323-1205) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 8134323-1205) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2024-03-05 |