| NPI | 1063470342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MDo18466E) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD018466E) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD018466E) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-12-23 |