| NPI | 1093811036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NE 1933) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: IA 4357) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-06-09 |