| NPI | 1992894604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 22692) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2005-00503) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY C2584) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2005-00503) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2005-00503) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-06-30 |