| NPI | 1194798595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 19596) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 19596) |
| 207R00000X Internal Medicine (Licence: SC 19596) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 19596) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-12-28 |