NPI | 1760501720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX m4994) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX m4994) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: TX m4994) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-14 |