| NPI | 1134326804 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 105936)  | 
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL 11000)  | 
| 207R00000X Internal Medicine (Licence: FL ME 105936)  | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME105936)  | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME105936)  | |
| Enumeration Date | 2007-06-27 | 
| Last Update Date | 2014-05-23 |