NPI | 1104803188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G50558) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G50558) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G50558) | |
Enumeration Date | 2005-12-29 |
Last Update Date | 2023-09-26 |