| NPI | 1073506317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 039487) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 039487) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CT 039487) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-03-14 |