NPI | 1043424633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: ND 12714) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 61314) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-12-06 |