| NPI | 1710901822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G35274) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA G35274) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-09-12 |