| NPI | 1871817148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2012-02012) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-02012) |
| 207R00000X Internal Medicine (Licence: MN 53879) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 53879) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 53879) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2019-01-16 |