| NPI | 1487678769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: ID 2671566) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD218160) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00046930) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-09-24 |