| NPI | 1396237582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MD D0094823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116031484) |
| 207Q00000X Family Medicine (Licence: MD D0094823) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-01-22 |