| NPI | 1164746939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 22888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22888) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2024-03-04 |