NPI | 1912161084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 54000) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 54000) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 54000) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2020-09-18 |