| NPI | 1346864063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 73907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 30241) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 30241) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-08-14 |