| NPI | 1225287881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A144912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A144912) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A144912) | |
| 207R00000X Internal Medicine (Licence: OH 57-014262) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A144912) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-07-21 |