| NPI | 1588088280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7929) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX R7929) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: HI MD-22252-0) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 306052) | |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2023-07-04 |