| NPI | 1598741951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 54374) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036152607) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54374) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 54374) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-06-14 |