| NPI | 1992936488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME128149) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 13813) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME128149) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2022-07-21 |