| NPI | 1295228450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71803) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 71803) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-09-16 |