| NPI | 1780174110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T9225) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T9225) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX T9225) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-05-13 |