NPI | 1235338062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 68147) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D071909) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 68147) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 68147) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2021-01-04 |