| NPI | 1801041629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101250532) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP10029260) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101250532) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101250532) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2012-02-15 |