| NPI | 1477842896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NM MD2015-0597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2015-0597) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-10-24 |