NPI | 1700894359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J7600) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX j7600) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: TX j7600) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-01-20 |