| NPI | 1235270745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2014037719) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KS 0437137) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-07-21 |