NPI | 1205018843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100221) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL ME100221) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2024-12-10 |