| NPI | 1003805722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 37412) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101254047) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 24528) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101254047) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101254047) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2018-05-30 |