| NPI | 1629490438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 61935) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 61935) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 61935) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2018-03-13 |