| NPI | 1982765947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 013386) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 013386) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-05-22 |