| NPI | 1053757849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4301102874) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: KS 04-41398) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2023-06-28 |