| NPI | 1285605295 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 31464) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 206262) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 206262) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31464) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 206262) | |
| Enumeration Date | 2006-01-28 | 
| Last Update Date | 2021-06-08 |