| NPI | 1558568485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101263956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN11506) |
| 207R00000X Internal Medicine (Licence: FL ME104646) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101263956) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0101263956) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-01-31 |