| NPI | 1013975119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G72937) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 163460) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL 163460) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-04-29 |