| NPI | 1992712483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD28676) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 41171) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD28676) | |
| 208000000X Pediatrics (Licence: OR MD28676) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 41171) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD28676) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-04-24 |