| NPI | 1396735957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: AZ 11320) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 11320) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-09-03 |