| NPI | 1760501720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX m4994) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX m4994) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX m4994) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-14 |