| NPI | 1902884844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO R3P21) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R3P21) |
| Enumeration Date | 2005-12-31 |
| Last Update Date | 2012-06-06 |