| NPI | 1356920656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 34844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 73859) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-08-07 |