| NPI | 1790740967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 17786) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 17786) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 17786) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-12-03 |