NPI | 1356395941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2009-01120) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01120) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 28542) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2009-01120) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 28542) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: SC 28542) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2009-01120) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2019-09-09 |