| NPI | 1205332210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101267817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267817) |
| 208D00000X General Practice (Licence: VA 0101267817) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-07-10 |