| NPI | 1740290378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G52290) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA G52290) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G52290) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-10-13 |