| NPI | 1265487771 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 24582) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 24582) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01093942A) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 24582) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-10-29 |