| NPI | 1629088968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 08416) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 08416) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 08416) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 08416) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-08-27 |