| NPI | 1447639869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A151737) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A151737) |
| 208D00000X General Practice (Licence: CA A151737) | |
| 282N00000X General Acute Care Hospital (Licence: CA A151737) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-09-26 |