NPI | 1881676880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 17468) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 17468) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 17468) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2020-01-23 |