NPI | 1194456103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.175601) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080257) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2025-06-25 |