| NPI | 1609879378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX F6491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F6491) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-11-19 |