| NPI | 1174518856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 021573) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 021573) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 021573) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2017-03-06 |