| NPI | 1912970344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME138847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042066) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 042066) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2020-04595) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 042066) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CT 042066) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-04-11 |