| NPI | 1275532657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KS 421292) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: KS 0421292) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-12-09 |