| NPI | 1063431682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 040832) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 040832) | 
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 040832) | |
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2008-07-31 |