| NPI | 1134532583 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: IN 02006826A) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006826A) | 
| 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 34.013489) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 02006826A) | |
| Enumeration Date | 2014-06-03 | 
| Last Update Date | 2025-06-09 |