| NPI | 1629272083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A96311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96311) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A96311) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-02-26 |