NPI | 1679652986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WV 1067) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 1067) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: WV 1067) | |
207RS0012X Internal Medicine Sleep Medicine (Licence: WV 1067) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-04-21 |