| NPI | 1235516147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A15639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A15639) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-12-13 |