| NPI | 1407122906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301101236) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301101236) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301101236) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 5024-320) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-01-11 |