| NPI | 1780620963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME39079) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME39079) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME39079) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-11-02 |