| NPI | 1003110313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A136104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 6397) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 63831) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: ID M-14570) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CO DR.0071372) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2024-10-04 |