| NPI | 1093704298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 216511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216511) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: MA 216511) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 216511) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: MA #216511) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2012-04-17 |