| NPI | 1770588832 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0060345) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060345) | 
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MD D0060345) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0060345) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0060345) | |
| Enumeration Date | 2005-06-16 | 
| Last Update Date | 2013-10-31 |