| NPI | 1396740668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P4321) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 12731) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 51376) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 23793) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-12784) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: ID M-12784) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2021-01-11 |