| NPI | 1942204656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 17844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 17844) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 17844) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NE 17844) | |
| 207K00000X Allergy & Immunology (Licence: IA 23943) | |
| 207R00000X Internal Medicine (Licence: IA 23943) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 23943) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IA 23943) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-08-22 |