| NPI | 1891772208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 35362) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 056561) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 3065) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 22557) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 3065) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 35362) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-06-07 |