| NPI | 1689648412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 37463) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY 37463) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01055859A) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: KY 37463) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2024-03-05 |