| NPI | 1396904785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A100114) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A100114) |
| 207L00000X Anesthesiology (Licence: ND 11605) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-12-05 |