| NPI | 1629081500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0047658) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0047658) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-04-17 |