| NPI | 1083639439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200401440) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200401440) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 200401440) | |
| 208000000X Pediatrics (Licence: NC 200401440) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NC 200401440) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-10-29 |