| NPI | 1164839965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA FB7330450) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA FB7330450) |
| 207R00000X Internal Medicine (Licence: PA FB7330450) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2020-07-21 |