| NPI | 1508357021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD H0094117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0094117) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2022-07-28 |