| NPI | 1831283936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY 12111A) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: ND 15016) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY TL5628) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WY 12111A) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-02-15 |