| NPI | 1275809691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A132493) |
| Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: CA A132493) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2019-12-19 |