| NPI | 1083722292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R7825) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY TP061) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD200298) | |
| 207R00000X Internal Medicine (Licence: WI 48038) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP061) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-10-29 |