| NPI | 1962465070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 40480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 044652) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 044652) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 044652) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-04-09 |