NPI | 1609239268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX V2769) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX V2769) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2025-08-12 |