| NPI | 1962674549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME103416) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME103416) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME103416) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2021-12-01 |