| NPI | 1245777317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME131281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131281) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 73642-20) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME131281) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME131281) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-04-19 |