| NPI | 1730133190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N7770) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD10867) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD10867) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX N7770) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N7770) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-01-18 |