| NPI | 1083177182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD61420652) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: WA MD61420652) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-07-02 |