| NPI | 1255480661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G85367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G85367) |
| 207R00000X Internal Medicine (Licence: TX J6375) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G85367) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CA G85367) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: CA G085367) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-10-04 |