| NPI | 1487723342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 35644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 127008) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 146083) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: TN 35644) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-01-11 |