| NPI | 1538351416 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 44775) | 
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN MD0000047017) | 
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.125044) | |
| Enumeration Date | 2007-08-14 | 
| Last Update Date | 2024-01-14 |