| NPI | 1235472325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA OP60756150) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV DO3935) |
| 207L00000X Anesthesiology (Licence: NV DO3935) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2026-01-07 |