| 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 |