| NPI | 1801889720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101235795) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: WV 17601) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101235795) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WV 17601) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0101235795) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WV 17601) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2024-06-14 |