| NPI | 1770523045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301052325) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301052325) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-02-19 |