NPI | 1417942293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 28651) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 28651) |
174400000X Specialist (Licence: GA 028651) | |
174400000X Specialist (Licence: GA 28651) | |
Enumeration Date | 2005-09-16 |
Last Update Date | 2019-10-03 |