| NPI | 1902992845 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D64408) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D64408) | 
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MD D64408) | |
| 207R00000X Internal Medicine (Licence: MD D64408) | |
| Enumeration Date | 2006-10-05 | 
| Last Update Date | 2021-03-16 |