| NPI | 1821193582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA 36273) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MT MED-PHYS-LIC-103517) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT MED-PHYS-LIC-103517) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2026-09-02 |