| NPI | 1902955222 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD429967) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD426697) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA08162300) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA md426697) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-10-03 |