| NPI | 1184644858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G56202) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G56202) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-08-01 |