| NPI | 1619974904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: NE 24314) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036-111112) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036-111112) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 24314) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 24314) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-10-29 |