NPI | 1093701658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 16378) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036166087) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2025-01-07 |