| NPI | 1255533501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX M2947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2947) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-06-15 |