| NPI | 1821376807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 28114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098210) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 28114) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 28114) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2021-11-18 |