| NPI | 1073638482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 225843) |
| Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: KY 40383) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY 40383) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-10-19 |