| NPI | 1245422955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX q7024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX q7024) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A100759) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2024-06-24 |