| NPI | 1437499365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 24760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-099) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NM MD2013-0099) | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2025-08-05 |