| NPI | 1295891224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G66389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G66389) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G66389) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-08-12 |