| NPI | 1376959841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014018065) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2018017791) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2018-10-24 |