| NPI | 1518188333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME102848) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME102848) |
| 207R00000X Internal Medicine (Licence: FL ME102848) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME102848) | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: FL ME102848) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-02-06 |