| NPI | 1710970793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 31670) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 31670) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101244855) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101244855) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 31670) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101244855) | |
| 208M00000X Hospitalist (Licence: TN 31670) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2017-08-24 |