| NPI | 1205800034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 25175) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 25175) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 25175) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-12-11 |