NPI | 1194228916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 12229852-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-67459) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2022-08-22 |