| NPI | 1528356631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T5194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48870) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 48870) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2022-11-04 |