NPI | 1730133547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 72622) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 23128) |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: SC 23128) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2025-03-19 |