| 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 |