| NPI | 1083602080 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L7034) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX L7034) | 
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX L7034) | |
| Enumeration Date | 2005-10-12 | 
| Last Update Date | 2018-11-01 |