| NPI | 1114050457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 36910) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 36910) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: GA 066809) | |
| 207R00000X Internal Medicine (Licence: IA 36910) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 066809) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 066809) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-10-09 |