| NPI | 1073926317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR0069403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3991) |
| 207R00000X Internal Medicine (Licence: FL OS14602) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-07-24 |