| NPI | 1962583104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A43804) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A43804) |
| 207R00000X Internal Medicine (Licence: CA A43804) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A43804) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A43804) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-07 |