| NPI | 1164622247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-090112) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N2287) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-090112) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N2287) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX N2287) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35-090112) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-08-14 |