| NPI | 1346203304 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME49946)  | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME0049946)  | 
| Enumeration Date | 2006-04-10 | 
| Last Update Date | 2022-10-31 |