| NPI | 1912904483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 70455) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 21022) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 21022) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 21022) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2021-07-30 |