| NPI | 1649338997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 052298) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: GA 052298) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |