| NPI | 1801808597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: TN MD019156) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000019156) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD019156) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-02-12 |