| NPI | 1174521009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME76783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V0672) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX V0672) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX V0672) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME76783) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-05-15 |