| NPI | 1225016355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI 0355)  | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: RI 0355)  | 
| 207R00000X Internal Medicine (Licence: RI 0355)  | |
| Enumeration Date | 2006-01-09 | 
| Last Update Date | 2015-12-28 |