NPI | 1629079751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX D7162) |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: TX D7162) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: TX D7162) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2013-02-06 |