| NPI | 1790993863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2011001472) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 54101-020) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2011001472) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2011001472) | |
| 207R00000X Internal Medicine (Licence: MO 2011001472) | |
| 207R00000X Internal Medicine (Licence: WI 54101-020) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54101-020) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 54101-020) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2012-01-23 |