| NPI | 1700858727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: UT 6273841-1205) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 44844) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2010-08-13 |