| NPI | 1164530051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 65983) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 065983) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: GA 65983) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-10-13 |