| NPI | 1326017500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M1743) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX 823061) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2026-03-05 |