| NPI | 1336565225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS022982) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA OS022982) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: PA OS022982) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2025-10-28 |