| 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 |