| NPI | 1932147774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD8209) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: TN MD8209) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-10-25 |