NPI | 1316983364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX M3511) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX M3511) |
207RS0012X Internal Medicine Sleep Medicine (Licence: TX M3511) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2018-01-29 |