| NPI | 1578569935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 18616) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 39269) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18616) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-07-13 |