| NPI | 1962490128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: UT 5868721-1205) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 154772) | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-03-03 |