| NPI | 1912009564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI 11453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 11453) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI 11453) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0066709) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2017-03-02 |