| NPI | 1700847738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2022-00306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 38221) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 38221) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38221) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 38221) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-09-20 |