NPI | 1285340026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 3013630) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-03-13 |