| NPI | 1902861156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 20598) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA MD-35590) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MS 20598) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036129400) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: MS 20598) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-09-01 |