| NPI | 1265416325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 4154-320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7165) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX M7165) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-03-20 |