NPI | 1912354853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 60449) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 60449) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 60449) | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-09-03 |