| NPI | 1619917382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PR 11791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 11791) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 11791) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-03-21 |