| NPI | 1598794026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME100366) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME100366) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME100366) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-09-15 |