| NPI | 1255633038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A124058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124058) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A124058) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2020-09-17 |