| NPI | 1730134248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A32985) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A32985) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A32985) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A32985) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-04-28 |