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 |