| NPI | 1619179058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PR 16704) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PR 16704) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: PR 16704) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2013-04-08 |