| NPI | 1427022052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: TN 32071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 32071) |
| 207Q00000X Family Medicine (Licence: TX M2807) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: TX M2807) | |
| 208M00000X Hospitalist (Licence: TN 32071) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-04-21 |