| NPI | 1487898011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01086146A) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 63578-20) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.122557) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 57058) | |
| 208000000X Pediatrics (Licence: IL 036.122557) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2021-12-27 |