| NPI | 1518942150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 35397) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 35397) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-09-07 |