NPI | 1730198730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A86203) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A86203) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A86203) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A86203) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2021-12-21 |