| NPI | 1184722076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01024475A) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01024475A) |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: IN 01024475A) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |