NPI | 1619383429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U1225) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U1225) |
207R00000X Internal Medicine (Licence: NY 291156) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: TX U1225) | |
Enumeration Date | 2014-07-01 |
Last Update Date | 2024-05-24 |