| NPI | 1265479273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX K3613) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K3613) |
| 207Q00000X Family Medicine (Licence: TX K3613) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-01-30 |