| NPI | 1811134562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301102382) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301102382) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301102382) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2024-05-20 |