| NPI | 1104808054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME87987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME87987) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME87987) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX K9076) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 29034) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME87987) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-01-18 |