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 |