NPI | 1740208404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME97922) |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME97922) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME97922) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2015-02-25 |