NPI | 1205891280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 041688) |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CT 041688) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 041688) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2012-03-09 |