| NPI | 1568436350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C156208) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TX 25052) |
| 103TC0700X Psychologist Clinical (Licence: NC 2020) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101238558) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101238558) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA C156208) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CA C156208) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-12-27 |