| NPI | 1063682102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 48303) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 48303) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CT 48303) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2010-07-07 |