| NPI | 1700960150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 9370) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV 9370) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-01-28 |