| NPI | 1740289917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D79693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9800933) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD418913) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9800933) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 9800933) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-10-28 |