| NPI | 1235472325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV DO3935) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV DO3935) | 
| Enumeration Date | 2013-03-27 | 
| Last Update Date | 2025-07-31 |