| NPI | 1114128485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD442888) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR ll16193) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 41304) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD442888) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD442888) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-06-30 |