NPI | 1508858739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 11496) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 11496) |
207RS0012X Internal Medicine Sleep Medicine (Licence: AZ 11496) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2010-02-24 |