NPI | 1407419658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: IN 02007283A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207QS1201X Family Medicine, Sleep Medicine (Licence: IN 11020752A) | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2023-10-04 |