| NPI | 1194707547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9580) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV 9580) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-01-31 |