| NPI | 1376980367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-8862) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: AR E8862) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-08-10 |