| NPI | 1306943121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 180866-1205) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 180866-1205) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 180866-1205) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-03-06 |