| NPI | 1225622541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0101276159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101276159) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2025-07-21 |