| NPI | 1982642518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD32680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101231496) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101231496) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101231496) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101231496) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0071312) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-08-21 |