| NPI | 1447293162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD23070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD23070) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-07-10 |