NPI | 1790872281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G79514) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G79514) |
207RS0012X Internal Medicine Sleep Medicine (Licence: CA G79514) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2019-11-25 |