| NPI | 1417301334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 13327654-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58540) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 13327654-1205) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2025-11-17 |