NPI | 1629061973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 16919) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 16919) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2022-04-19 |