| NPI | 1487001061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NV 20879) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A168176) |
| 207Q00000X Family Medicine (Licence: NV 20879) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-04-19 |