| NPI | 1811026446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036116058) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 51245) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 10562) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 51245) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036116058) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036116058) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2026-06-10 |