| NPI | 1861773491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301075275) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301075275) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301075275) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301075275) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2018-05-15 |