| NPI | 1912904483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MT MED-PHYS-LIC-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 | 2025-04-10 |