| NPI | 1114985686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 33893) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: NC 33893) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 33893) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 33893) | |
| 207R00000X Internal Medicine (Licence: NC 33893) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-06-04 |