| NPI | 1538173794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC MD21599) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: SC MD21599) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-04-27 |