| NPI | 1972542207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 19047) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 19047) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 19047) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-10-15 |