| NPI | 1306407853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 110100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 110100) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2026-01-08 |