| NPI | 1891780201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD29097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD29097) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD29097) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD29097) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-09-27 |