| NPI | 1669448825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA MD.09846R) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: LA MD09846R) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2017-01-12 |