| NPI | 1669475208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM 74-235) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX K3847) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-01-25 |