NPI | 1447286455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 39473) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01066185A) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 39473) | |
208D00000X General Practice (Licence: OH 35083719) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-12-07 |