| NPI | 1629053988 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME82736) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME82736) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME82736) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2025-01-14 |