| NPI | 1255066031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 14209922-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT MED-RES-LIC-113361) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-03-27 |