NPI | 1689816613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD444689) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD444689) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD444689) | |
207RS0012X Internal Medicine Sleep Medicine (Licence: PA MD444689) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2022-08-05 |