| NPI | 1447425194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A111335) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A111335) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2026-04-23 |