| NPI | 1962439539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2006006312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006006312) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2006006312) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2006006312) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-06-25 |