| NPI | 1366738387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD16342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075375) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD16342) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 075375) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: RI MD16342) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-09-16 |