| NPI | 1023507134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101279285) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101279285) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-08-29 |