| NPI | 1780774083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 44980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M4016) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX M4016) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M4016) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 44980) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 44980) | |
| 207R00000X Internal Medicine (Licence: TN 44980) | |
| 208D00000X General Practice (Licence: TN 44980) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 063058) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 063058) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 063058) | |
| 207R00000X Internal Medicine (Licence: GA 063058) | |
| 208D00000X General Practice (Licence: GA 063058) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX M4016) | |
| 208D00000X General Practice (Licence: TX M4016) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2011-01-05 |