| NPI | 1679575054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 30908) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 30908) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 30908) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-01-25 |