| NPI | 1609855063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 58378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58378) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 00017313) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 58378) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 00017313) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 00017313) | |
| 174400000X Specialist (Licence: AL 17313) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 58378) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-07-08 |