| NPI | 1780118133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 68958) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 68958) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 68958) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-07-10 |