| NPI | 1083909089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD464309) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD464309) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD464309) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-07-30 |