| NPI | 1760572150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9701005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9701005) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 97-01005) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 97-01005) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-03-31 |