| NPI | 1235106915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 4301088026) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301088026) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301088026) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2019-10-07 |