NPI | 1215283320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: IN 01085524A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9735848-1205) |
207RS0012X Internal Medicine Sleep Medicine (Licence: UT 9735848-1205) | |
Enumeration Date | 2012-07-26 |
Last Update Date | 2021-05-03 |