NPI | 1417910407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A56143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A56143) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A56143) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2025-02-26 |