| NPI | 1720033574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 28018) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 28018) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 28018) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-08-15 |