| NPI | 1740267954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133984) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036099912) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036099912) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036099912) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-01-04 |