| NPI | 1164985412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2023-02110) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 316820) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 291632) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR.0064957) | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2023-10-18 |