| NPI | 1386083830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD218654) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 62999) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-04-15 |