NPI | 1710971049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 210221) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 210221) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 210221) | |
Enumeration Date | 2005-09-01 |
Last Update Date | 2020-09-09 |