| NPI | 1154813889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD203108) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA 61446146) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2026-02-11 |