| NPI | 1760577241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 286086) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 4476) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 4476) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 4476) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-03-02 |