| NPI | 1457670796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO DR.0054648) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101250935) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2021-09-20 |