| NPI | 1114957503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 014147) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME 014147) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 14507) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: ME 014147) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-10-22 |