| NPI | 1902820004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 21580) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 21580) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 21580) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 21580) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-03-21 |