| NPI | 1720025794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 066504) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0069861) |
| 207R00000X Internal Medicine (Licence: DC MD32757) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD32757) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD32757) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2026-06-02 |