| NPI | 1073563466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD066031L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066031L) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD066031L) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-08-22 |