| NPI | 1326488909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL 131735) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 32279) |
| 208D00000X General Practice (Licence: PR 19931) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 131735) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 131735) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-11-19 |