NPI | 1174571624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J2777) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX J2777) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2025-10-16 |