| NPI | 1306544101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NH 22858) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 35.14693) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: KS T-W0026-4) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |