| NPI | 1306880141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 111211) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 111211) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: MO 111211) | |
| 207R00000X Internal Medicine (Licence: MO MO111211) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-02-14 |