| NPI | 1770557027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 034821) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 034821) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 034821) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-03-07 |