| NPI | 1194456103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01098602A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080257) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.175601) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2026-07-22 |