| NPI | 1477620284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: WA MD6026881) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: NV 13011) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-10-29 |