| NPI | 1497840805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 9668384-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241556) |
| 207R00000X Internal Medicine (Licence: PA MD429988) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-09-29 |