| NPI | 1992797088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX K9165) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K9165) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX K9165) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-11-22 |