| NPI | 1083201636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A25227) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA DOL.OL.70108432) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2026-06-18 |