| NPI | 1043891534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A203367) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4351052093) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-09-29 |