| NPI | 1285965855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2011039119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011039119) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2023-08-21 |