| NPI | 1487650040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 1730) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 1730) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SD 1730) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-03-04 |