| NPI | 1174904023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101279380) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0098600) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-10-10 |