| NPI | 1811144694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 80036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258304) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101258304) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101258304) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0101258304) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 80036) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2026-06-29 |