NPI | 1205885779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G28277) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G282770) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G28277) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2018-01-31 |