| NPI | 1639434731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2025-00936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407872) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2025-00936) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2025-00936) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2025-06-25 |