| NPI | 1164985420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A20049) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA 20A20049) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-04-18 |