| NPI | 1215377296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01080040A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131031) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2022-10-11 |