| NPI | 1033371463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60194904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60194904) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: AZ R75509) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.152855) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-01-26 |