NPI | 1801868880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101247887) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247887) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101247887) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2018-09-14 |