| NPI | 1316126998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 15453) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15453) | 
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NH 15453) | |
| Enumeration Date | 2007-10-30 | 
| Last Update Date | 2025-04-08 |