| NPI | 1417970526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 74656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 74656) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 74656) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA #74656.) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-03-19 |