| NPI | 1467548701 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 38714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071213A) |
| 207R00000X Internal Medicine (Licence: KY 38714) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME147497) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 38714) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-09-07 |