| NPI | 1164463105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 45868) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 45868) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 45868) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-01-26 |