NPI | 1972597474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J5877) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX J5877) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX J5877) | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2013-12-05 |