| NPI | 1104806462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0027189) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0027189) |
| 207R00000X Internal Medicine (Licence: MD D0027189) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-08-21 |