| NPI | 1548526072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101256126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0076214) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0076214) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-12-12 |