| NPI | 1063500353 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J8256) | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX J8256) | 
| Enumeration Date | 2006-10-11 | 
| Last Update Date | 2024-11-22 |