NPI | 1083604532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 033654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 033654) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 033654) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 033654) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 14918A) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2022-12-15 |