| NPI | 1881879310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2012-0122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046076) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-0122) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2012-0122) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-07-21 |