| NPI | 1316126998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 15453) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NH 15453) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2011-11-16 |