| NPI | 1306978812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R3L34) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD28695) |
| 207P00000X Emergency Medicine (Licence: MO R3L34) | |
| 207P00000X Emergency Medicine (Licence: OR MD28695) | |
| 207Q00000X Family Medicine (Licence: OR MD28695) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: OR MD28695) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KS 22889) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD28695) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO R3L34) | |
| 208D00000X General Practice (Licence: OR MD28695) | |
| 208D00000X General Practice (Licence: KS 22889) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2024-03-21 |