| NPI | 1134532583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 02006826A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006826A) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 34.013489) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-08-24 |