| NPI | 1245441971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: UT 6201987-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6201987-1205) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-09-29 |