| NPI | 1518488675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 68727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112447) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 35515) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 73363) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 68727) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-04-22 |