| 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 |