| NPI | 1497772164 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 208688) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301082693) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301082693) | |
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2014-02-27 |