| NPI | 1427223999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA OP60433077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202197) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2021-05-20 |